【摘要】 目的:探讨侧脑室引流配终池持续引流术治疗中、重型继发性脑室出血患者的临床疗效。方法:84例中、重度继发性脑室出血患者随机分为两组,治疗组(n=42)采用侧脑室引流配合终池置管持续引流术治疗,对照组(n=42)行内科保守治疗。结果:治疗组欧洲卒中量表(ESS)7,14,28,90 d后总生活能力(ADL)情况与对照组比较差异有显著性(P<0.05),治疗组总有效率73.8%,对照组总有效率35.7%,两组比较差异有显著性。结论:侧脑室引流配合终池持续引流术治疗中、重型继发性脑室出血,在改善神经功能和生活能力方面优于对照组,具有较好的临床疗效。更多还原

【Abstract】 Objective:To evaluate the clinical efficacy of the combination treatment with lateral ventricular drainage and terminal cistern continuous drainage in moderate or severe secondary intraventricular hemorrhage.Methods:Eighty-four patients with moderate or severe secondary intraventricular hemorrhage were rando mly assigned to one of two groups.Besides with routine routine medical therapy the experimental group(n=42) also received the combination therpy with lateral ventricular drainage and terminal cistern continuous drainage.The control group(n=42) were treated with routine medical therapy only.The outcome was measured by european stroke scale(ESS) and activities of daily living(ADL).Results:The ESS score at 7,14,and 28 days and the ADL index at 90 days were improved significantly in experimental group as compared with which in control group(P<0.05).More patients had a favorable outcome with combination therapy than with control(73.80%vs35.7%,P<0.05).Conclusion:Combination therapy with lateral ventricular drainage and terminal cistern continuous drainage,could improve neurological deficit scores and activity of daily life in patients with moderate or severe secondary intraventricular hemorrhage更多还原